If the coalition is committed to families, why are maternity services being cut?

The strain of austerity is beginning to show on maternal care provision.

Recent news that the health of pregnant women and new mothers is being negatively impacted as a result of the coalition’s budget cuts strikes an odd note:  like them or loathe them, if there’s one thing you can rely on Conservatives for, it’s proclaiming their allegiance to the family. When the brutality of the cuts began to show in areas like refugee services or young people from non-privileged backgrounds no longer applying to university, there was at least the grim ring of consistency – have the Tories ever credibly claimed to care about such constituencies? Similarly, when feminist groups like the Fawcett Society demonstrated that women were facing a double-burden of the recession and government cuts in the workplace, one didn’t need to stretch one’s imagination too far to place this in the broader picture of a Conservative Party who seems to prefer women both at home and "in their place". “Families” though, were safe in the arms of the Conservatives’ paternal concern. Never mind that the whole gamut of austerity measures, from the game-changing overhaul of higher education to the cutting up of the NHS, daily and tangibly corrode the wellbeing and future prospects of parents, children, communities – families, in short, of one kind or another.  Still the amorphous ideal of the "traditional" family unit was one the governing party claims to hold close to its heart.

It’s striking, then, that the latest area in which the government’s cuts are being felt is in maternal care. Framing its concern largely in terms of children, the Daily Mail (that other "family" cheerleader) recently reported that breastfeeding rates have been directly hit by the cuts to healthcare services, citing research by health data analysts SSentif that post-natal women living in areas where cuts to maternity services have come into effect are more likely to stop breastfeeding in the first eight weeks, due to lack of available support from midwives and healthcare visitors. Given the wealth of scientific evidence on the life-long benefits, for children, of being breastfed, the logic follows that there may likely be a long-term negative impact on a future generation’s health.

The blog FalseEconomy has detailed further reasons for, and consequences of, the increased strain on maternal care provision, including demographic shifts towards later pregnancies as a reason for an increase in "complex pregnancies" taking more time for midwives, and the "knock on" effect of cuts in other areas such as violence against women provisions and services to the homeless. It cites the Royal College of Midwives’ State of Maternity Services report to lend credence to the claim that the government cuts have combined with demographic changes to stretch maternity services beyond their capacity. The Valuing Maternity campaign by Maternity Action is calling for greater commitment from the government to ensure this vital aspect of public health is addressed.

Aside from the inherent concern of the reduction in maternal care, and the worrying evidence suggesting its impact on a decline in breastfeeding, the example of the over-stretching of reduced maternal services is also a chilling reminder that no reduction of a public service happens in a vacuum. Women’s experiences of the recession are a prime example of the knock-on effect of one area of government policy to another, and how the recession and the cuts introduced under the guise of "austerity" have combined to corner women into a position of less work, less pay, fewer benefits and fewer rights. (Meanwhile urgent calls to address issues such as gender-inequities in public life and pre-recession concerns about the continuing pay gap are dismissed as a luxury "in these difficult times". As Susan Faludi outlined so eloquently in The Terror Dream’s analysis of the Bush-Blair years, that women’s concerns were dismissed along the lines of “not now dear, there’s a war on”, in the post-financial crisis era this is modified: not "now dear, it’s the austerity – but we’re all in this together"). 

Not only was this the first feminised recession in terms of the sectors hit hardest by job losses, but measures introduced under the guise of "austerity" doubly-targeted women, as women were both a larger proportion of public sector workers with jobs on the line, and some of the main users of state-provided services. (To add a further grim footnote: just as women needed financial independence the most, research from IPPR suggests that banks, too, turned on women, arbitrarily denying mortgages and other loans to female customers, using the new excuse of "new stricter regulations").

Eventually, as the new evidence on maternal health provision in the UK indicates, the knock-on effect manifests even in an area the Conservatives claim as their own: protecting the "family" and women as child-bearers. The painful cycle being played out in dominoes as one service after another is gutted by the cuts reveals the inherent flaw even in ideologically-driven cuts – while wealth may not trickle-down, corrosion of communities and services does trickle up, and into areas the Tories claim are their priority.

It also reveals what a sham it is to say you care about "families" when your policies show little if any concern for women.

Follow Heather McRobie on Twitter as @heathermcrobie.

 

A young boy is weighed after being born in an NHS maternity unit in Manchester. Photograph: Getty Images
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Owen Smith is naïve if he thinks misogynist abuse in Labour started with Jeremy Corbyn

“We didn’t have this sort of abuse before Jeremy Corbyn became the leader.”

Owen Smith, the MP challenging Jeremy Corbyn in the Labour leadership contest, has told BBC News that the party’s nastier side is a result of its leader.

He said:

“I think Jeremy should take a little more responsibility for what’s going on in the Labour party. After all, we didn’t have this sort of abuse and intolerance, misogyny, antisemitism in the Labour party before Jeremy Corbyn became the leader.

“It’s now become something that is being talked about on television, on radio, and in newspapers. And Angela is right, it has been effectively licenced within the last nine months.

“We’re the Labour party. We’ve got to be about fairness, and tolerance, and equality. It’s in our DNA. So for us to be reduced to this infighting is awful. Now, I understand why people feel passionately about the future of our party – I feel passionately about that. I feel we’re in danger of splitting and being destroyed.

“But we can’t tolerate it. And it isn’t good enough for Jeremy simply to say he has threats too. Well, I’ve had death threats, I’ve had threats too, but I’m telling him, it’s got to be stamped out. We’ve got to have zero tolerance of this in the Labour party.”

While Smith’s conclusion is correct, his analysis is worryingly wrong.

Whether it is out of incompetence or an unwillingness to see the extent of the situation, Corbyn has done very little to stamp out abuse in his party, which has thus been allowed to escalate. It is fair enough of Smith to criticise him for his failure to stem the flow and punish the perpetrators.

It is also reasonable to condemn Corbyn's inability to stop allies like Chancellor John McDonnell and Unite leader Len McCluskey using violent language (“lynch mob”, “fucking useless”, etc) about their opponents, which feeds into the aggressive atmosphere. Though, as I’ve written before, Labour politicians on all sides have a duty to watch their words.

But it’s when we see how Smith came to the point of urging Corbyn to take more responsibility that we should worry. Smith confidently argues that there wasn’t “this sort of abuse and intolerance, misogyny, antisemitism” in the party before Corbyn was voted in. (I assume when he says “this sort”, he means online, death threats, letters, and abuse at protests. The sort that has been high-profile recently).

This is naïve. Anyone involved in Labour politics – or anything close to it – for longer than Corbyn’s leadership could tell Smith that misogyny and antisemitism have been around for a pretty long time. Perhaps because Smith isn’t the prime target, he hasn’t been paying close enough attention. Sexism wasn’t just invented nine months ago, and we shouldn’t let the belief set in that it did – then it simply becomes a useful tool for Corbyn’s detractors to bash him with, rather than a longstanding, structural problem to solve.

Smith's lament that “it’s now become something that is being talked about” is also jarring. Isnt it a good thing that such abuse is now being called out so publicly, and closely scrutinised by the media?

In my eyes, this is a bit like the argument that Corbyn has lost Labour’s heartlands. No, he hasn’t. They have been slowly slipping away for years – and we all noticed when Labour took a beating in the last general election (way before Corbyn had anything to do with the Labour leadership). As with the abuse, Corbyn hasn’t done much to address this, and his inaction has therefore exacerbated it. But if we tell ourselves that it started with him, then we’re grasping for a very, very simple solution (remove Corbyn = automatic win in the North, and immediate erasure of misogyny and antisemitism) to a problem we have catastrophically failed to analyse.

Anoosh Chakelian is deputy web editor at the New Statesman.